Perimenopause treatment

There is no single treatment that suits everyone. A clinician may discuss cooling measures and sleep support for hot flushes or night sweats, counselling or mental-health care for mood symptoms, and options to manage troublesome bleeding. Hormone treatment may help some symptoms, while non-hormonal medicines may be considered when hormones are unsuitable or not wanted. Contraception may still be needed during the transition, and treatment choices depend on migraine, clotting history, breast or womb conditions, liver health and other medicines.

Start by listing the symptoms that interfere most with your life and what you have already tried. Regular movement, a consistent sleep routine, breathable layers and reducing personal triggers may provide support. Ask a clinician to review bleeding changes and medication interactions before starting supplements or hormones. Treatment can be adjusted as your symptoms and health needs change.

Arrange an appointment for symptoms that persist, disrupt sleep or affect relationships and work, or for heavy, prolonged, between-period or post-sex bleeding. Seek urgent help for severe pelvic pain, fainting, chest pain, major breathing difficulty, or sudden one-sided weakness. New severe depression or thoughts of self-harm require immediate support.

Ask which symptom should be treated first, whether hormone or non-hormonal options fit your history, how contraception affects the plan, and when to review it. Bring details of [heavy periods](/symptoms/heavy-periods/) or [irregular periods](/symptoms/irregular-periods/).